[104-10222-10042.pdf — page 110]
# SECRET(When Filled In)# FITNESS REPORT (Part 1) PERFORMANCEINSTRUCTIONSFOR THE ADMINISTRATIVE OFFICER: Consult current instructions for completing this report.FOR THE SUPERVISOR: This report is designed to help you express your evaluation of your subordinate and to transmit this evaluation to your supervisor and senior officials. Organization policy requires that you inform the subordinate where he stands with you. Completion of the report can help you prepare for a discussion with him of his strengths and weaknesses. It is also organization policy that you show Part I of this report to the employee except under conditions specified in Regulation 20-370. It is recommended that you read the entire form before completing any question. If this is the initial report on the employee, it must be completed and forwarded to the Office of Personnel no later than 30 days after the date indicated in item 8. of Section A below.SECTION A.1. NAMEZEHRUNG, Charlotte L.(Last)(First)(Middle)2. DATE OF BIRTH12 Jan 19293. SEXF4. SERVICE DESIGNATIONDI5. OFFICE/DIVISION BRANCH OF ASSIGNMENTDDP/WH/II/DC//MEXICO.6. OFFICIAL POSITION TITLEReports Officer7. GRADE 8. DATE REPORT DUE IN ORGS-114 Nov 19579. PERIOD COVERED BY THIS REPORT (Inclusive dates)28 August 1956 - 27 August 195710. TYPE OF REPORT(Check one)INITIALREASSIGNMENT-EMPLOYEESPECIAL (Specify)X ANNUALSECTION B.CERTIFICATION1. FOR THE RATER: THIS REPORT X HAS HAS NOT BEEN SHOWN TO THE INDIVIDUAL RATED. IF NOT SHOWN, EXPLAIN WHYNOT:A. CHECK (X) APPROPRIATE STATEMENTS:THIS REPORT REFLECTS MY OWN OPINIONS OF THIS INDI-VIDUAL.IF INDIVIDUAL IS RATED "I" IN C1 OR D. A WARNING LET-TER WAS SENT TO HIM AA COPY ATTACHED TO THIS REPORT.XTHIS REPORT REFLECTS THE COMBINED OPINIONS OF MYSELF AND PREVIOUS SUPERVISORS.I CANNOT CERTIFY THAT THE RATED INDIVIDUAL ANONS NOW EVALUATE HIS JOB PERFORMANCE BECAUSE (Specify):I HAVE DISCUSSED WITH THIS EMPLOYEE HIS STRENGTHS AND WEAKNESSES SO THAT HE KNOWS WHERE HE STANDS.B. THIS DATE20 January 1958C. TYPED OR PRINTED NAME AND SIGNATURE OF SUPERVISOR D. SUPERVISOR'S OFFICIAL TITLEJohn B. BradyC/WH/III/MexicoE. FOR THE REVIEWING OFFICIAL RECORD ANY SUBSTANTIAL DIFFERENCE OF OPINION WITH THE SUPERVISOR, OR ANY OTHER IN-FORMATION, WHICH WILL LEAD TO A BETTER UNDERSTANDING OF THIS REPORT.![signature]BY:![signature]DATE21 JAN1958CONTINUED ON ATTACHED SHEETI certify that any substantial difference of opinion with the supervisor is reflected in the above section.A. THIS DATE B. TYPED OR PRINTED NAME OF REVIEWING OFFICIAL C. OFFICIAL TITLE OF REVIEWING OFFICIAL21 January 1958R. N. DahlgrenC/WH/IITSECTION C.JOB PERFORMANCE EVALUATION1. RATING ON GENERAL PERFORMANCE OF DUTIESDIRECTIONS: Consider ONLY the productivity and effectiveness with which the individual being rated has performed his duties during the rating period. Compare him ONLY with others doing similar work at a similar level of responsibility. Factors other than productivity will be taken into account later in Section D.6INSERTRATINGNUMBER1. DOES NOT PERFORM DUTIES ADEQUATELY. HE IS INCOMPETENT.2. RARELY ADEQUATE IN PERFORMANCE: ALTHOUGH HE HAS HAD SPECIFIC GUIDANCE OR TRAINING, HE OFFEN FAILS TO CARRY OUT RESPONSIBILITIES.3. PERFORMS MOST OF HIS DUTIES ACCEPTABLY, OCCASIONALLY REVEALS SOME AREA OF WEAKNESS.4. PERFORMS DUTIES IN A COMPLIENT, EFFECTIVE MANNER.5. A FINE PERFORMER. CARRIES OUT MANY OF HIS RESPONSIBILITIES EXCEPTIONALLY WELL.6. PERFORMS HIS DUTIES IN SUCH AN OUTSTANDING MANNER THAT HE IS EQUALLED BY FEW OTHER PERSONS KNOWN TO THE SUPERVISOR.COMMENTS.FORM NO. 45 (Part 1) REPLACES PREVIOUS EDITIONS1 JUN 55 WHICH ARE OBSOLETESECRETPerformance147